36D0343981 CLIA NUMBER - GOOD SHEPHERD HOME

Laboratory Demographics

  • CLIA Code: 36D0343981
  • Facility Name: GOOD SHEPHERD HOME
  • Facility Address: 725 COLUMBUS AVENUE
    FOSTORIA, OH
    ZIP 44830
  • Facility Phone: (419) 435-1801
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRIS WIDMAN ADM
  • NPI Number: 1457453334
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0343981
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOOD SHEPHERD HOME
Street 725 COLUMBUS AVENUE
City FOSTORIA
State OH
ZIP 44830
Phone 4194351801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHRIS WIDMAN ADM

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This page was last updated on: 5/18/2026